Which medication can cause tissue necrosis if extravasation occurs?

Dopamine hydrochloride can cause tissue necrosis if extravasation occurs due to its vasoconstrictive properties. When dopamine is administered intravenously and inadvertently leaks into surrounding tissues, it can constrict blood vessels locally, leading to reduced blood flow. This lack of adequate blood supply can result in tissue ischemia and eventual necrosis. The risk associated with dopamine underscores the importance of proper intravenous placement and monitoring during administration.

While the other options may have specific side effects or risks associated with their use, they do not carry the same significant risk of causing tissue necrosis through extravasation as dopamine hydrochloride does. Understanding the potential complications linked to various medications, particularly those that are vasoactive, is critical for safe medication administration and patient care.